HICKORY CREEK HEALTHCARE FOUNDATION INC: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- HICKORY CREEK HEALTHCARE FOUNDATION INC (EIN 31-1644803)
- Tax period
- 2016-01-01 to 2016-12-31
- Filed
- 2017-08-07
- IRS object ID
- 201732199349301153
- Schema version
- 2016v3.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2017-08-07T11:35:52-07:00 | ReturnTs |
| Tax Period End | 2016-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Bradley & Associates Inc | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 201 S Capitol Ave Ste 700 | AddressLine1Txt |
| City | Indianapolis | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 46225 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2016-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 311644803 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HICKORY CREEK HEALTHCARE FOUNDATION INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | HICK | BusinessNameControlTxt |
| Phone | 6789907262 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5555 GLENRIDGE CONNECTER | AddressLine1Txt |
| City | ATLANTA | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 30342 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Keith Yoder | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Signature | 2017-08-07 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | SKANDER NASSER III | PreparerPersonNm |
| PTIN | P00236505 | PTIN |
| Phone | 3172375500 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $23,385,287 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| All Affiliates Included | false | AllAffiliatesIncludedInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | hickorycreekhealthcare.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1999 | FormationYr |
| Legal Domicile State | GA | LegalDomicileStateCd |
| Activity Or Mission | TO PROVIDE CARE TO THE ELDERLY RESIDENTS INCLUDING NURSING CARE, THERAPIES, OTHER ANCILLARY SERVICES, FOOD SERVICES, SOCIAL SERVICES AND OTHER SERVICES AS REQUIRED. | ActivityOrMissionDesc |
| Voting Members Governing Body | 4 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 2 | VotingMembersIndependentCnt |
| Total Employee | 1114 | TotalEmployeeCnt |
| Total Volunteers | 464 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $22,345 | PYContributionsGrantsAmt |
| CY Contributions Grants | $26,412 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $22,476,164 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $22,795,488 | CYProgramServiceRevenueAmt |
| PY Investment Income | $45,572 | PYInvestmentIncomeAmt |
| CY Investment Income | -$150,667 | CYInvestmentIncomeAmt |
| PY Other Revenue | $1,535,920 | PYOtherRevenueAmt |
| CY Other Revenue | $460,927 | CYOtherRevenueAmt |
| PY Total Revenue | $24,080,001 | PYTotalRevenueAmt |
| CY Total Revenue | $23,132,160 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $18,865,672 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $19,424,122 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $3,199,531 | PYOtherExpensesAmt |
| CY Other Expenses | $3,111,578 | CYOtherExpensesAmt |
| PY Total Expenses | $22,065,203 | PYTotalExpensesAmt |
| CY Total Expenses | $22,535,700 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $2,014,798 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $596,460 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $21,736,692 | TotalAssetsBOYAmt |
| Total Assets EOY | $21,227,154 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $7,019,922 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $5,889,750 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $14,716,770 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $15,337,404 | NetAssetsOrFundBalancesEOYAmt |
| Mission | TO PROVIDE CARE TO THE ELDERLY RESIDENTS INCLUDING NURSING CARE, THERAPIES, OTHER ANCILLARY SERVICES, FOOD SERVICES, SOCIAL SERVICES AND OTHER SERVICES AS REQUIRED. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $12,993,879 | ExpenseAmt |
| Revenue | $15,963,872 | RevenueAmt |
| Desc | THE COMPANY LEASES FIFTEEN OF ITS INDIANA NURSING FACILITIES TO HENRY COUNTY MEMORIAL HOSPITAL (HOSPITAL), A NOT FOR PROFIT ORGANIZATION, UNDER A LEASE AGREEMENT. THE COMPANY ALSO HAS VARIOUS AGREEMENTS WITH THE HOSPITAL TO MANAGE THE NURSING FACILITIES AND LEASE EMPLOYEES TO STAFF THE NURSING FACILITIES. AT ALL TIMES, THE COMPANY HAS REMAINED THE EMPLOYER OF ALL THE EMPLOYEES IN THE FIFTEEN NURSING HOMES LEASED TO THE HOSPITAL. THIS IS THE REVENUE AND EXPENSE IN RELATION TO LEASING THE EMPLOYEES TO THE HOSPITAL. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $4,365,139 | ExpenseAmt |
| Revenue | $3,154,655 | RevenueAmt |
| Desc | PROGRAM EXPENSES INCLUDE SERVICES TO PROVIDE CARE TO THE ELDERLY RESIDENTS INCLUDING NURSING CARE, THERAPIES, OTHER ANCILLARY SERVICES, FOOD SERVICES, SOCIAL SERVICES AND OTHER SERVICES AS REQUIRED.PLEASE NOTE THAT EFFECTIVE APRIL 30, 2014, THE COMPANY CLOSED AN INTERMEDIATE CARE FACILITY FOR INDIVIDUALS WITH INTELLECTUAL DISABILITIES (ICF/IID) IN GASTON, INDIANA. THE EXPENSES REPORTED IN 2015 INCLUDE ALL FINAL EXPENSES RELATED TO THIS DISCONTINUED OPERATION. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $976,044 | ExpenseAmt |
| Revenue | $3,676,961 | RevenueAmt |
| Desc | THE COMPANY LEASES FIFTEEN OF ITS INDIANA NURSING FACILITIES TO HENRY COUNTY MEMORIAL HOSPITAL (HOSPITAL), A NOT FOR PROFIT ORGANIZATION, UNDER A LEASE AGREEMENT. THE COMPANY ALSO HAS VARIOUS AGREEMENTS WITH THE HOSPITAL TO MANAGE THE NURSING FACILITIES AND LEASE EMPLOYEES TO STAFF THE NURSING FACILITIES. AT ALL TIMES, THE COMPANY HAS REMAINED THE EMPLOYER OF ALL THE EMPLOYEES IN THE FIFTEEN NURSING HOMES LEASED TO THE HOSPITAL. THIS IS THE REVENUE AND EXPENSE IN RELATION TO LEASING THE BUILDINGS TO THE HOSPITAL. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $18,335,062 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | false | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBondsInd |
| Escrow Account | false | EscrowAccountInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 22 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 1114 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | false | Form990TFiledInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Form8282 Filed | 0 | Form8282FiledCnt |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Form8899 Filedind | false | Form8899Filedind |
| Form1098 C Filed | false | Form1098CFiledInd |
| DAF Excess Business Holdings | false | DAFExcessBusinessHoldingsInd |
| Taxable Distributions | false | TaxableDistributionsInd |
| Distribution To Donor | false | DistributionToDonorInd |
| Org Filed In Lieu Of Form1041 | false | OrgFiledInLieuOfForm1041Ind |
| Licensed More Than One State | false | LicensedMoreThanOneStateInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 4 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 2 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | GA | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | IN | StatesWhereCopyOfReturnIsFldCd |
| Other Website | Yes (X) | OtherWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | KEITH YODER | PersonNm |
| Phone | 6789907262 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5555 GLENRIDGE CONNECTER STE 650 | AddressLine1Txt |
| City | ATLANTA | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 30342 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (9 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| KEITH YODER | ||||||||
| CEO | 40.00 | 0.00 | Yes (X) | Yes (X) | $310,170 | $0 | $15,884 | |
| FRANCIS CROSBY | ||||||||
| President | 40.00 | 0.00 | Yes (X) | Yes (X) | $333,504 | $0 | $15,884 | |
| JOHN STODDARD | ||||||||
| Director | 10.00 | 0.00 | Yes (X) | $24,000 | $0 | $0 | ||
| JOHN MOBLEY | ||||||||
| Director | 10.00 | 0.00 | Yes (X) | $24,000 | $0 | $0 | ||
| GARY B WAYMIRE | ||||||||
| VP OPERATIONS | 40.00 | 0.00 | $251,855 | $0 | $14,665 | Yes (X) | ||
| JANICE RICHEY | ||||||||
| DIR. OPERATIONS | 40.00 | 0.00 | $166,184 | $0 | $8,209 | Yes (X) | ||
| VANESSA PETRY | ||||||||
| NURSE CONSULTANT | 40.00 | 0.00 | $125,404 | $0 | $6,644 | Yes (X) | ||
| BARBARA SWORD | ||||||||
| DIR CLINICAL SV | 40.00 | 0.00 | $145,657 | $0 | $8,209 | Yes (X) | ||
| STEPHANIE ENDRES | ||||||||
| CORPORATE CONTROLL | 40.00 | 0.00 | $176,680 | $0 | $20,863 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,557,454 | TotalReportableCompFromOrgAmt |
| Total Other Compensation | $90,358 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 9 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | Yes (true) | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (4 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| Bradley Associates | |||||
| 201 S Capitol Avenue Suite 7000 | Indianapolis | IN | 46225 | Audit and Consulting | $232,785 |
| Healthcare Therapy Services | |||||
| 1411 West County Line Road | Greenwood | IN | 46142 | Therapies | $1,910,740 |
| ATC Healthcare Services Inc | |||||
| 75 Remittance Drive Dept 6773 | Chicago | IL | 606756773 | Contract Labor | $512,421 |
| Medical Staffing Solutions | |||||
| 9700 Highway 57 North Suite A | Evansville | IN | 47725 | Contract Labor | $116,198 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 4 | CntrctRcvdGreaterThan100KCnt |
| All Other Contributions | $26,412 | AllOtherContributionsAmt |
| Total Contributions | $26,412 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| CONTRACTED EMPLOYEES | 561300 | $15,963,872 | $15,963,872 |
| LEASED FACILITIES | 531110 | $3,676,961 | $3,676,961 |
| NURSING HOMES | 623000 | $3,154,655 | $3,154,655 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $22,795,488 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $98,560 | TotalRevenueColumnAmt |
| Exclusion | $98,560 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $3,900 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $253,127 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -$249,227 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$249,227 | TotalRevenueColumnAmt |
| Exclusion | -$249,227 | ExclusionAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|---|
| COMMISSION/REBATES | 900099 | $19,560 | $19,560 | |
| MEAL/VENDING INCOME | 722210 | $3,729 | $3,729 | |
| Nursing Home Mgmt | 541610 | $435,542 | $435,542 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,096 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $2,096 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $460,927 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $23,132,160 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $23,233,126 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | -$127,378 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $723,442 | TotalAmt |
| Program Services | $272,510 | ProgramServicesAmt |
| Management And General | $450,932 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,104,340 | TotalAmt |
| Program Services | $14,379,429 | ProgramServicesAmt |
| Management And General | $2,724,911 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,322 | TotalAmt |
| Program Services | $4,600 | ProgramServicesAmt |
| Management And General | $4,722 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $239,845 | TotalAmt |
| Program Services | $191,107 | ProgramServicesAmt |
| Management And General | $48,738 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,347,173 | TotalAmt |
| Program Services | $1,266,415 | ProgramServicesAmt |
| Management And General | $80,758 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,171 | TotalAmt |
| Management And General | $9,171 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $66,655 | TotalAmt |
| Management And General | $66,655 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,040 | TotalAmt |
| Program Services | $1,010 | ProgramServicesAmt |
| Management And General | $3,030 | ManagementAndGeneralAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $292,452 | TotalAmt |
| Program Services | $252,515 | ProgramServicesAmt |
| Management And General | $39,937 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,443 | TotalAmt |
| Program Services | $4,608 | ProgramServicesAmt |
| Management And General | $8,835 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $84,967 | TotalAmt |
| Management And General | $84,967 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $348,432 | TotalAmt |
| Management And General | $348,432 | ManagementAndGeneralAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $628,061 | TotalAmt |
| Program Services | $526,833 | ProgramServicesAmt |
| Management And General | $101,228 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $61,183 | TotalAmt |
| Program Services | $5,815 | ProgramServicesAmt |
| Management And General | $55,368 | ManagementAndGeneralAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,609 | TotalAmt |
| Program Services | $293 | ProgramServicesAmt |
| Management And General | $4,316 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16 | TotalAmt |
| Program Services | $16 | ProgramServicesAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $911,373 | TotalAmt |
| Program Services | $866,492 | ProgramServicesAmt |
| Management And General | $44,881 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $112,659 | TotalAmt |
| Management And General | $112,659 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| Provider Fees | $282,370 | $282,370 |
| Food, Dietary Supplies & Equip | $117,597 | $117,597 |
| Drugs | $70,450 | $70,450 |
| Medical Supplies | $57,190 | $57,190 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $46,910 | TotalAmt |
| Program Services | $35,812 | ProgramServicesAmt |
| Management And General | $11,098 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,535,700 | TotalAmt |
| Program Services | $18,335,062 | ProgramServicesAmt |
| Management And General | $4,200,638 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,000 | BOYAmt |
| EOY | $1,000 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,274,863 | BOYAmt |
| EOY | $12,530,861 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,660,276 | BOYAmt |
| EOY | $4,015,524 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $13,361,403 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $9,044,889 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,342,626 | BOYAmt |
| EOY | $4,316,514 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $457,927 | BOYAmt |
| EOY | $363,255 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,736,692 | BOYAmt |
| EOY | $21,227,154 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,789,564 | BOYAmt |
| EOY | $1,815,643 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,175,087 | BOYAmt |
| EOY | $4,043,010 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $55,271 | BOYAmt |
| EOY | $31,097 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,019,922 | BOYAmt |
| EOY | $5,889,750 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,716,770 | BOYAmt |
| EOY | $15,337,404 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,716,770 | BOYAmt |
| EOY | $15,337,404 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,736,692 | BOYAmt |
| EOY | $21,227,154 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $596,460 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $24,174 | NetUnrlzdGainsLossesInvstAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $5,999 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $21,634 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $17,636 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $22,345 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $26,412 | CurrentTaxYearAmt |
| Total | $94,026 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $26,207,878 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $34,265,320 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $23,109,035 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $22,476,164 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $22,795,488 | CurrentTaxYearAmt |
| Total | $128,853,885 | TotalAmt |
Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $26,213,877 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $34,286,954 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $23,126,671 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $22,498,509 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $22,821,900 | CurrentTaxYearAmt |
| Total | $128,947,911 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $128,947,911 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $11,849 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $585,603 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,379,944 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,395,572 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $98,560 | CurrentTaxYearAmt |
| Total | $3,471,528 | TotalAmt |
Post1975 UBTI Post1975UBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $11,849 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $585,603 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,379,944 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,395,572 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $98,560 | CurrentTaxYearAmt |
| Total | $3,471,528 | TotalAmt |
Net Income From Other UBI NetIncomeFromOtherUBIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $259,847 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,313,301 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,561,824 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $185,920 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $460,927 | CurrentTaxYearAmt |
| Total | $3,781,819 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $26,485,573 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $36,185,858 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $26,068,439 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $24,080,001 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $23,381,387 | CurrentTaxYearAmt |
| Total | $136,201,258 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.94670 | PublicSupportCY509Pct |
| Public Support PY509 | 0.95360 | PublicSupportPY509Pct |
| Investment Income CY | 0.02550 | InvestmentIncomeCYPct |
| Investment Income PY | 0.02230 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form4720 Filed Section4955 Tax | false | Form4720FiledSection4955TaxInd |
| Correction Made | false | CorrectionMadeInd |
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | false | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | false | DirectContactLegislatorsInd |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | Yes (true) | OtherActivitiesInd |
| Other Activities | $4,040 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $4,040 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
| Form4720 Filed4912 Tax | false | Form4720Filed4912TaxInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part II-B, Line 1i - Other Activities Description | FormAndLineReferenceDesc |
| Explanation | The Company is a member of trade associations, such as Leading Age Indiana and Ohio Healthcare Association. This amount represents the portion of the membership dues used for lobbying. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $375,000 | OtherCostOrOtherBasisAmt |
| Book Value | $375,000 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $9,377,438 | OtherCostOrOtherBasisAmt |
| Depreciation | $6,413,929 | DepreciationAmt |
| Book Value | $2,963,509 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $117,477 | OtherCostOrOtherBasisAmt |
| Depreciation | $56,638 | DepreciationAmt |
| Book Value | $60,839 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,491,488 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,574,322 | DepreciationAmt |
| Book Value | $917,166 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $4,316,514 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | OBLIGATION UNDER INTEREST RATE SWAP | Desc |
| Amt | $31,097 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $31,097 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $23,469,387 | TotalRevEtcAuditedFinclStmtAmt |
| Other Revenue | $288,000 | OtherRevenueAmt |
| Revenue Not Reported | $288,000 | RevenueNotReportedAmt |
| Revenue Subtotal | $23,181,387 | RevenueSubtotalAmt |
| Other Revenues Not Included | -$49,227 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | -$49,227 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $23,132,160 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $22,735,672 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $426,314 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $426,314 | ExpensesNotReportedAmt |
| Expenses Subtotal | $22,309,358 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $226,342 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $226,342 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $22,535,700 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part X : FIN48 Footnote | Hickory Creek Healthcare Foundation, Inc. is recognized as a tax-exempt organization under Section 501(c)(3) of the U.S. Internal Revenue Code. Atrium Living Centers of Texas, Inc. is a for-profit organization and is subject to federal and state income taxes. For the years ended December 31, 2016 and 2015, federal and state income taxes are not material to the financial statements. |
| Part XI, Line 2d: Other revenue amounts included in F/S but not included on form 990 | INCOME OF RELATED ORGANIZATION $288000 |
| Part XII, Line 2d: Other expenses and losses per audited F/S | EXPENSES OF RELATED ORGANIZATION $426314 |
| Part XII, Line 4b: Other revenue amounts included on 990 but not included in F/S | EXPENSES FROM DISCONTINUED OPERATIONS $26342 INTER-COMPANY MANAGEMENT FEES $200000 |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
| Rebuttable Presumption Proc | false | RebuttablePresumptionProcInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (6 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt |
|---|---|---|---|---|---|
| BARBARA SWORD | |||||
| DIR CLINICAL SV | $142,657 | $3,000 | $2,500 | $5,709 | $153,866 |
| FRANCIS CROSBY | |||||
| President | $288,504 | $45,000 | $2,500 | $13,384 | $349,388 |
| GARY B WAYMIRE | |||||
| VP OPERATIONS | $238,355 | $13,500 | $2,500 | $12,165 | $266,520 |
| JANICE RICHEY | |||||
| DIR. OPERATIONS | $158,684 | $7,500 | $2,500 | $5,709 | $174,393 |
| KEITH YODER | |||||
| CEO | $265,170 | $45,000 | $2,500 | $13,384 | $326,054 |
| STEPHANIE ENDRES | |||||
| CORPORATE CONTROLL | $163,680 | $13,000 | $2,500 | $18,363 | $197,543 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Line 11b: Form 990 Review Process | The Form 990 will be prepared by the Company in conjunction with its auditors. Following preparation of the initial draft, it will be delivered in draft form to each Member of the Board of Directors for comment. After a comment period of at least 10 business days, all comments of the Board Members together with any questions will be resolved prior to publication of the final Form 990. |
| Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts | Each member of the Board of Directors and each Officer is required to disclose annually, in writing, any and all interests which they may have either in the healthcare industry or in any business which does business with the Company. The written disclosure is then reviewed by the other members of the Board of Directors. If a conflict of interest were discovered, it would be addressed by the Board, and appropriate action taken. |
| Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees | The Board receives wage studies of comparable health care providers and evaluates the duties of all officers and key employees in arriving at the compensation to be paid. |
| Form 990, Part VI, Line 19: Other Organization Documents Publicly Available | Copies of such documents are published and given to all employees and are available for inspection in each nursing home office. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ATRIUM LIVING CENTERS OF TEXAS | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Direct Controlling NA | N/A | DirectControllingNACd |
| Controlled Organization | false | ControlledOrganizationInd |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ATRIUM LIVING CENTERS OF TEXAS | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5555 GLENRIDGE CONNECTOR SUITE 650 | AddressLine1Txt |
| City | ATLANTA | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 30342 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 522409489 | EIN |
| Primary Activities | MANAGEMENT | PrimaryActivitiesTxt |
| Legal Domicile State | DE | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NA | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Entity Type | C | EntityTypeTxt |
| Share Of Total Income | $288,000 | ShareOfTotalIncomeAmt |
| Share Of EOY Assets | $324,174 | ShareOfEOYAssetsAmt |
| Ownership | 1.00000 | OwnershipPct |
| Controlled Organization | Yes (true) | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | false | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (true) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp
Other Organization Name OtherOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ATRIUM LIVING CENTERS OF TEXAS | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | s | TransactionTypeTxt |
| Involved | $200,000 | InvolvedAmt |
| Method Of Amount Determination | CASH TRANSFER | MethodOfAmountDeterminationTxt |